ABC DENTAL CENTER, PC (NPI# 1811170483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811170483 |
| Entity Type | Organization |
| Organization Name | ABC DENTAL CENTER, PC |
| Practice Address |
123 S Stone Ave Tucson AZ 85701-1914 |
| Practice Telephone | 5207983384 |
| Practice Fax Number | 5207919311 |
| Mailing Telephone | 5207983384 |
| Mailing Fax Number | 5207919311 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | DR. JEFFREY L MARTIN (DDS) |
| Authorized Official Telephone | 5207983384 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
123 S STONE AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85701-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518006147 | Gary S Peterson | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2007-02-06 |
| 1568901866 | Jeffrey Michael Lake | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2017-02-20 |
| 1730632415 | Kaveh Kayvani | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2016-07-28 |
| 1225365703 | Perfect Teeth / Abc P.C. | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203089 | Marisa Riddle | Registered Nurse | 220 W 6th Street, Tucson, AZ 85701 | 2019-03-12 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1730425455 | Jan Courtney | Counselor | 85 W Franklin, Cope Community Services, Tucson, AZ 85701 | 2012-12-28 |
| 1750641569 | Christine A Widener | Social Worker | 240 N Court Ave, Tucson, AZ 85701 | 2012-05-25 |
| 1336337039 | Gerard Anthony Scarano | Psychologist | 10 E 10th St, Tucson, AZ 85701 | 2007-10-09 |
| 1922166107 | Coyote Task Force | Community/Behavioral Health | 66 E Pennington, Tucson, AZ 85701 | 2006-12-04 |
| 1407928575 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 355 W 24th St, Tucson, AZ 85701 | 2006-11-14 |
| 1164510731 | G. Lynn Bonner | Counselor | 325 W. Franklin St., Ste 117, Tucson, AZ 85701 | 2006-10-10 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1356317077 | Linda Kapinos | Nurse Practitioner | 101 South Stone Avenue, Cope Community Services, Inc., Tucson, AZ 85701 | 2006-02-23 |
| Find all providers in zip 85701 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1083270136 | Jasmine Dahshan | Dentist | 1743 W Prince Rd Ste 115, Tucson, AZ 85705-5086 | 2019-05-14 |
| 1760956189 | Southern Dental Specialties of Tucson | Dentist | 1601 N Tucson Blvd Ste 12c, Tucson, AZ 85716-3405 | 2019-01-18 |
| 1316434046 | Tbd V, Pllc | Dentist | 1238 W Orange Grove Rd Ste 102, Tucson, AZ 85704-2950 | 2018-04-18 |
| 1427560713 | Grant Road Dentistry, LLP | Dentist | 4811 E Grant Rd Ste 121, Tucson, AZ 85712-2763 | 2017-10-26 |
| 1801314810 | Aurora Dental Group LLC | Dentist | 63675 E Saddlebrooke Blvd Ste M, Tucson, AZ 85739-1297 | 2017-08-30 |
| 1174067193 | Tortolita Dental Group and Orthodontics, LLP | Dentist | 9725 N Thornydale Rd Ste 173, Tucson, AZ 85742-5027 | 2016-12-09 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1174984892 | Affordable Dentures - Tucson, P.C. | Dentist | 3782 S 16th Ave, Tucson, AZ 85713-6079 | 2016-03-08 |
| 1881063782 | Desert Sleep Solutions LLC | Dentist | 8265 S Houghton Rd Ste 101, Tucson, AZ 85747-5766 | 2015-09-21 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.